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  • no1doctor
    2024-04-04 02:08:23 - ترجمه
    Cutting-Edge Cases Navigating the Complex World of Bariatric Surgery by dr atef ahmed

    https://youtu.be/RV8bPlTQu2w
    https://www.amazon.com/dp/B0CW1GDG3W
    https://youtu.be/RV8bPlTQu2w

    Incisions & Insights (book series)
    https://www.amazon.com/dp/B0CZ7JRHYD

    Telegram group (@no1doctors)
    https://t.me/no1doctors


    #BariatricSurgery #WeightLossJourney #GastricBypass #SleeveGastrectomy #ObesityHelp #WeightLossTransformation #HealthyLiving #LapBand #GastricSleeve #MetabolicSurgery #WLSCommunity #BariatricLife #LoseWeight #BariatricEating #WLSJourney #GastricBalloon #BariatricPatient #WeightLossSupport #WLS #Bariatric #WeightLossGoals #FitnessJourney #Nutrition #HealthyChoices #BariatricCooking #WLSFood #PostOpLife #PreOpDiet #BariatricFitness #WLSNutrition #BariatricJourney #WeightLossSurgery #WLSLife #BariatricSuccess #WLSMeals #BariatricFriendly #WLSRecipes #BariatricTips #WLSCommunitySupport #BariatricWellness #WLSInspiration #BariatricTransformation #WLSMotivation #BariatricHealth #WLSStrength #BariatricAdvice #WLSVictory #BariatricSupport #WLSChallenges #BariatricProgress #WLSSuccess #BariatricSurgerySuccess #WLSBeforeAndAfter #BariatricSurgeryJourney #WLSLifeChanging #BariatricSurgerySupport #WLSPostOp #BariatricSurgeryRecovery #WLSWeightLoss #BariatricSurgeryResults #WLSHealth #BariatricSurgeryLife #WLSRecovery #BariatricSurgeryTransformation #WLSNewLife #BariatricSurgeryCommunity #WLSJourneyToHealth #BariatricSurgeryTips #WLSHealthyLiving #BariatricSurgeryAdvice #WLSLifestyle #BariatricSurgeryNutrition #WLSWeightManagement #BariatricSurgeryWeightLoss #WLSFitness #BariatricSurgeryFitness #WLSMealPlanning #BariatricSurgeryMealPlan #WLSMealPrep #BariatricSurgeryPreOp #WLSPostSurgery #BariatricSurgeryPostOp #WLSRecoveryJourney #BariatricSurgeryRecoveryTips #WLSPostOpDiet #BariatricSurgeryDiet #WLSFoodIdeas #BariatricSurgeryFood #WLSHealthyEating #BariatricSurgeryEating #WLSNutritionTips #BariatricSurgeryNutritionAdvice #WLSExercise #BariatricSurgeryExercise #WLSWorkout #BariatricSurgeryWorkout #WLSHealthyHabits #BariatricSurgeryHealthyLifestyle #WLSCommunityLove #BariatricSurgeryFamily
    Cutting-Edge Cases Navigating the Complex World of Bariatric Surgery by dr atef ahmed https://youtu.be/RV8bPlTQu2w https://www.amazon.com/dp/B0CW1GDG3W https://youtu.be/RV8bPlTQu2w Incisions & Insights (book series) https://www.amazon.com/dp/B0CZ7JRHYD Telegram group (@no1doctors) https://t.me/no1doctors #BariatricSurgery #WeightLossJourney #GastricBypass #SleeveGastrectomy #ObesityHelp #WeightLossTransformation #HealthyLiving #LapBand #GastricSleeve #MetabolicSurgery #WLSCommunity #BariatricLife #LoseWeight #BariatricEating #WLSJourney #GastricBalloon #BariatricPatient #WeightLossSupport #WLS #Bariatric #WeightLossGoals #FitnessJourney #Nutrition #HealthyChoices #BariatricCooking #WLSFood #PostOpLife #PreOpDiet #BariatricFitness #WLSNutrition #BariatricJourney #WeightLossSurgery #WLSLife #BariatricSuccess #WLSMeals #BariatricFriendly #WLSRecipes #BariatricTips #WLSCommunitySupport #BariatricWellness #WLSInspiration #BariatricTransformation #WLSMotivation #BariatricHealth #WLSStrength #BariatricAdvice #WLSVictory #BariatricSupport #WLSChallenges #BariatricProgress #WLSSuccess #BariatricSurgerySuccess #WLSBeforeAndAfter #BariatricSurgeryJourney #WLSLifeChanging #BariatricSurgerySupport #WLSPostOp #BariatricSurgeryRecovery #WLSWeightLoss #BariatricSurgeryResults #WLSHealth #BariatricSurgeryLife #WLSRecovery #BariatricSurgeryTransformation #WLSNewLife #BariatricSurgeryCommunity #WLSJourneyToHealth #BariatricSurgeryTips #WLSHealthyLiving #BariatricSurgeryAdvice #WLSLifestyle #BariatricSurgeryNutrition #WLSWeightManagement #BariatricSurgeryWeightLoss #WLSFitness #BariatricSurgeryFitness #WLSMealPlanning #BariatricSurgeryMealPlan #WLSMealPrep #BariatricSurgeryPreOp #WLSPostSurgery #BariatricSurgeryPostOp #WLSRecoveryJourney #BariatricSurgeryRecoveryTips #WLSPostOpDiet #BariatricSurgeryDiet #WLSFoodIdeas #BariatricSurgeryFood #WLSHealthyEating #BariatricSurgeryEating #WLSNutritionTips #BariatricSurgeryNutritionAdvice #WLSExercise #BariatricSurgeryExercise #WLSWorkout #BariatricSurgeryWorkout #WLSHealthyHabits #BariatricSurgeryHealthyLifestyle #WLSCommunityLove #BariatricSurgeryFamily
    0 التعليقات 0 نشر 81893 ظهور
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  • no1doctor إضافة صورة
    2024-02-07 15:42:35 - ترجمه
    Scalpel Chronicles:Surgical Case Scenarios (159 Short surgical cases) By Dr>Atef Ahmed

    https://www.amazon.com/dp/B0CV5G48CV

    https://x.com/DrATEFAHMED/status/1755254814357786859?s=20
    https://www.instagram.com/p/C3DTGk1MzXO/?utm_source=ig_web_copy_link&igsh=MzRlODBiNWFlZA==
    https://www.threads.net/@dr.atefahmed/post/C3DTjUfMchB

    Embark on an extraordinary journey into the heart of surgery with "Scalpel Chronicles: Surgical Case Scenarios," authored by the esteemed Dr. Atef Ahmed. This masterful book is not just a collection of surgical cases; it is a pivotal work that bridges the gap between theoretical knowledge and real-world surgical practice.

    Dr. Atef Ahmed, with his profound experience and sagacity, brings to life a series of meticulously selected cases, each unveiling the complexities and nuances of modern surgery. From routine procedures to the most challenging operations, this book covers an expansive range of topics, making it an essential read for anyone within the medical field.
    https://www.amazon.com/dp/B0CV5G48CV

    Key Features:
    - In-Depth Case Analysis : Each case is presented with comprehensive details, including patient history, diagnosis, treatment options, fostering a deeper understanding of surgical principles and decision-making.
    - Expert Insight : Dr. Ahmed's insights offer invaluable learning points, reflecting on the successes and challenges encountered in each case.
    - Multidisciplinary Approach : The book emphasizes the importance of a team approach in surgery, incorporating perspectives from various healthcare professionals.
    - Cutting-Edge Surgical Techniques : Stay abreast of the latest advancements and technologies in the field of surgery, as Dr. Ahmed expertly navigates through innovative procedures and techniques.
    - Educational Tool for All Levels : An invaluable resource for medical students, surgical residents, and seasoned surgeons. Each case is a learning opportunity, showcasing the art and science of surgery.

    https://www.amazon.com/dp/B0CV5G48CV

    "Scalpel Chronicles" is more than just a medical book; it's a testament to the art of surgery. It’s an engaging, thought-provoking read that will leave you with a profound appreciation for the complexities of this discipline. Whether you're a budding medical student, a practicing surgeon, or just someone with an interest in the world of surgery, this book offers a unique and captivating perspective.

    Get your copy of "Scalpel Chronicles: Surgical Case Scenarios" and experience the captivating world of surgery through the eyes of a master surgeon. Available now at major bookstores and online platforms. Join Dr. Atef Ahmed on this remarkable surgical odyssey!

    https://www.amazon.com/dp/B0CV5G48CV



    #SurgeryLife #ORLife #ScrubLife #SurgicalSkills #SurgeryDay #PatientCare
    #MedicalCases #ClinicalRotation #MedicalEducation #MedEd #FutureSurgeon
    #MedicalInnovation #SurgicalBreakthroughs #MinimallyInvasiveSurgery #RoboticSurgery
    #HealthcareHeroes #SurgeryTeam #ThankASurgeon #GratefulPatient #SurgicalResults
    #CardiothoracicSurgery #Neurosurgery #Plasticsurgery #Urology #OrthoSurgery
    #GeneralSurgery #Gynecology #Pediatricsurgery #LaparoscopicSurgery #EndoscopicSurgery
    #TraumaSurgery #VascularSurgery #OncologySurgery #Transplantsurgery #SurgicalAnatomy
    #SurgeryFacts #AskASurgeon #SurgeryMythBusters #SurgicalComplications #RecoveryJourney
    #BehindTheMask #ORHumor #SurgeonLife #MedTok #MedTwitter
    #ShareYourStory #InspiringPatients #GratitudeForScience #SurgeryAwareness #MakingADifference

    https://www.amazon.com/dp/B0CV5G48CV

    Surgical case report, clinical presentation, differential diagnosis, preoperative evaluation, surgical approach, intraoperative findings, postoperative care, complications, prognosis, patient outcome.
    Surgical techniques, instruments, anesthesia, sterile technique, teamwork, communication, decision-making.
    Ethical considerations, informed consent, patient safety, resource utilization, evidence-based practice.
    https://www.amazon.com/dp/B0CV5G48CV

    Specific disease processes, anatomical regions, surgical procedures (e.g., appendectomy, laparoscopic cholecystectomy, coronary artery bypass graft).
    Minimally invasive surgery, robotic surgery, advanced surgical technologies.
    Surgical education, residency training, fellowship programs, continuing medical education.
    Global surgery, access to surgical care, disparities in healthcare.

    https://www.amazon.com/dp/B0CV5G48CV

    "Surgical Case Studies Book"
    "Dr. Atef Ahmed Scalpel Chronicles"
    "Real-life Surgery Scenarios Guide"
    "Modern Surgical Techniques and Cases"
    "Comprehensive Surgical Casebook"
    "Medical Professional Surgery Cases"
    "Advanced Surgical Practices and Cases"

    https://www.amazon.com/dp/B0CV5G48CV

    Scalpel Chronicles:Surgical Case Scenarios (159 Short surgical cases) By Dr>Atef Ahmed https://www.amazon.com/dp/B0CV5G48CV https://x.com/DrATEFAHMED/status/1755254814357786859?s=20 https://www.instagram.com/p/C3DTGk1MzXO/?utm_source=ig_web_copy_link&igsh=MzRlODBiNWFlZA== https://www.threads.net/@dr.atefahmed/post/C3DTjUfMchB Embark on an extraordinary journey into the heart of surgery with "Scalpel Chronicles: Surgical Case Scenarios," authored by the esteemed Dr. Atef Ahmed. This masterful book is not just a collection of surgical cases; it is a pivotal work that bridges the gap between theoretical knowledge and real-world surgical practice. Dr. Atef Ahmed, with his profound experience and sagacity, brings to life a series of meticulously selected cases, each unveiling the complexities and nuances of modern surgery. From routine procedures to the most challenging operations, this book covers an expansive range of topics, making it an essential read for anyone within the medical field. https://www.amazon.com/dp/B0CV5G48CV Key Features: - In-Depth Case Analysis : Each case is presented with comprehensive details, including patient history, diagnosis, treatment options, fostering a deeper understanding of surgical principles and decision-making. - Expert Insight : Dr. Ahmed's insights offer invaluable learning points, reflecting on the successes and challenges encountered in each case. - Multidisciplinary Approach : The book emphasizes the importance of a team approach in surgery, incorporating perspectives from various healthcare professionals. - Cutting-Edge Surgical Techniques : Stay abreast of the latest advancements and technologies in the field of surgery, as Dr. Ahmed expertly navigates through innovative procedures and techniques. - Educational Tool for All Levels : An invaluable resource for medical students, surgical residents, and seasoned surgeons. Each case is a learning opportunity, showcasing the art and science of surgery. https://www.amazon.com/dp/B0CV5G48CV "Scalpel Chronicles" is more than just a medical book; it's a testament to the art of surgery. It’s an engaging, thought-provoking read that will leave you with a profound appreciation for the complexities of this discipline. Whether you're a budding medical student, a practicing surgeon, or just someone with an interest in the world of surgery, this book offers a unique and captivating perspective. Get your copy of "Scalpel Chronicles: Surgical Case Scenarios" and experience the captivating world of surgery through the eyes of a master surgeon. Available now at major bookstores and online platforms. Join Dr. Atef Ahmed on this remarkable surgical odyssey! https://www.amazon.com/dp/B0CV5G48CV #SurgeryLife #ORLife #ScrubLife #SurgicalSkills #SurgeryDay #PatientCare #MedicalCases #ClinicalRotation #MedicalEducation #MedEd #FutureSurgeon #MedicalInnovation #SurgicalBreakthroughs #MinimallyInvasiveSurgery #RoboticSurgery #HealthcareHeroes #SurgeryTeam #ThankASurgeon #GratefulPatient #SurgicalResults #CardiothoracicSurgery #Neurosurgery #Plasticsurgery #Urology #OrthoSurgery #GeneralSurgery #Gynecology #Pediatricsurgery #LaparoscopicSurgery #EndoscopicSurgery #TraumaSurgery #VascularSurgery #OncologySurgery #Transplantsurgery #SurgicalAnatomy #SurgeryFacts #AskASurgeon #SurgeryMythBusters #SurgicalComplications #RecoveryJourney #BehindTheMask #ORHumor #SurgeonLife #MedTok #MedTwitter #ShareYourStory #InspiringPatients #GratitudeForScience #SurgeryAwareness #MakingADifference https://www.amazon.com/dp/B0CV5G48CV Surgical case report, clinical presentation, differential diagnosis, preoperative evaluation, surgical approach, intraoperative findings, postoperative care, complications, prognosis, patient outcome. Surgical techniques, instruments, anesthesia, sterile technique, teamwork, communication, decision-making. Ethical considerations, informed consent, patient safety, resource utilization, evidence-based practice. https://www.amazon.com/dp/B0CV5G48CV Specific disease processes, anatomical regions, surgical procedures (e.g., appendectomy, laparoscopic cholecystectomy, coronary artery bypass graft). Minimally invasive surgery, robotic surgery, advanced surgical technologies. Surgical education, residency training, fellowship programs, continuing medical education. Global surgery, access to surgical care, disparities in healthcare. https://www.amazon.com/dp/B0CV5G48CV "Surgical Case Studies Book" "Dr. Atef Ahmed Scalpel Chronicles" "Real-life Surgery Scenarios Guide" "Modern Surgical Techniques and Cases" "Comprehensive Surgical Casebook" "Medical Professional Surgery Cases" "Advanced Surgical Practices and Cases" https://www.amazon.com/dp/B0CV5G48CV
    Like
    1
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  • no1doctor إضافة صورة
    2024-01-19 20:49:48 - ترجمه
    100 Questions and Answers in Anesthesiology for Medical Students


    https://www.amazon.com/dp/B0CSMRY21H
    https://x.com/DrATEFAHMED/status/1748446761734042104?s=20
    https://www.instagram.com/p/C2S7q9Tsi8s/?utm_source=ig_web_copy_link&igsh=MzRlODBiNWFlZA==




    #anesthesiaawareness
    #anesthesiaresident
    #anesthesiologist
    #painmanagement
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    #anesthlife
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    #healtheducation
    100 Questions and Answers in Anesthesiology for Medical Students https://www.amazon.com/dp/B0CSMRY21H https://x.com/DrATEFAHMED/status/1748446761734042104?s=20 https://www.instagram.com/p/C2S7q9Tsi8s/?utm_source=ig_web_copy_link&igsh=MzRlODBiNWFlZA== #anesthesiaawareness #anesthesiaresident #anesthesiologist #painmanagement #perioperativemedicine #gasdoc #intubation #airwaymanagement #anesthlife #regionalanesthesia #pedsanesthesia #cardiacanesthesia #neuroanesthesia #obstetricanesthesia #opthalmicanesthesia #criticalcare #operatingroom #preop #postop #sedation #chronicpain #anesthhumor #ANES2024#safesurgery #patientcare #medstudent #futuredoctor #medschoollife #anatomynerd #boardsstudy #rotationlife #matchday #studentdoctor #medlife #whitecoatwednesday #healthcareworker #residencymatch #USMLE #medtwitter #medicalhumor #clinicalskills #dissectionlab #patientdoctorrelationship #ruralmedicine #globalhealth #womeninmedicine #minoritydoctors #doctorsofinstagram #medicineforall #healtheducation
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  • no1doctor
    2023-11-15 18:08:54 - ترجمه
    Bariatric Surgery Tips

    https://youtu.be/DQbRhKUdWK0


    Full playlist
    https://www.youtube.com/playlist?list=PL0BL2oEK0s6Bs-u5-OIGh7tpQQkCdBvnd

    Get your Copy Now


    https://www.amazon.com/dp/B0CLHZTS1C


    Other Books Of The Author

    https://amazon.com/author/dratef

    #bariatric #master #tips #suregry
    #bariatricsurgery
    #weightlosssurgery
    #gastricsleeve
    #gastricbypass
    #bariatricjourney
    #weightlossgoals
    #healthylifestyle
    #newbeginnings




    "Navigating the Bariatric Journey: A Comprehensive Guide to Weight Loss Surgery #BariatricSuccess #WeightLossJourney"
    "Bariatric Surgery Myths Debunked: Separating Fact from Fiction #BariatricTruths #WeightLossFacts"
    "Meal Prep Mastery After Bariatric Surgery: Delicious and Nutrient-Packed Recipes #BariatricNutrition #MealPrepIdeas"
    "Reclaiming Your Health: A Deep Dive into Bariatric Surgery Benefits #HealthTransformation #BariatricWellness"
    "Bariatric Surgery Q&A: Your Top Questions Answered by Experts #AskTheExperts #BariatricFAQs"
    "Post-Op Fitness Fun: Tailoring Exercise Routines for Bariatric Patients #BariatricFitness #WorkoutAfterSurgery"
    "Embracing the New You: Psychological Aspects of Bariatric Surgery #MentalWellness #BariatricMindset"
    "Bariatric Surgery Success Stories: Real-Life Transformations Inspiring Change #TransformationTuesday #BariatricJourney"
    "Navigating Plateaus: Overcoming Challenges in Bariatric Weight Loss #BariatricChallenges #WeightLossPlateau"
    "The Science Behind Bariatric Surgery: Understanding the Surgical Process #BariatricScience #WeightLossSurgery"
    "Nutritional Essentials for Bariatric Patients: Building a Balanced Diet Plan #BariatricNutrition #HealthyEating"
    "Bariatric Surgery and Diabetes: Breaking the Link with Weight Loss Interventions #DiabetesPrevention #BariatricHealth"
    "Pre-Op Prep: What to Expect Before Bariatric Surgery #PreOpPreparation #BariatricPreparation"
    "Bariatric Surgery and Body Image: Nurturing Self-Confidence After Weight Loss #BodyPositivity #BariatricConfidence"
    "Bariatric Surgery for Teens: Exploring Weight Loss Options for Adolescents #TeenHealth #BariatricTeens"
    "Bariatric Surgery and Hormonal Changes: Understanding the Impact on Metabolism #BariatricHormones #MetabolicHealth"
    Bariatric Surgery Tips https://youtu.be/DQbRhKUdWK0 Full playlist https://www.youtube.com/playlist?list=PL0BL2oEK0s6Bs-u5-OIGh7tpQQkCdBvnd Get your Copy Now https://www.amazon.com/dp/B0CLHZTS1C Other Books Of The Author https://amazon.com/author/dratef #bariatric #master #tips #suregry #bariatricsurgery #weightlosssurgery #gastricsleeve #gastricbypass #bariatricjourney #weightlossgoals #healthylifestyle #newbeginnings "Navigating the Bariatric Journey: A Comprehensive Guide to Weight Loss Surgery #BariatricSuccess #WeightLossJourney" "Bariatric Surgery Myths Debunked: Separating Fact from Fiction #BariatricTruths #WeightLossFacts" "Meal Prep Mastery After Bariatric Surgery: Delicious and Nutrient-Packed Recipes #BariatricNutrition #MealPrepIdeas" "Reclaiming Your Health: A Deep Dive into Bariatric Surgery Benefits #HealthTransformation #BariatricWellness" "Bariatric Surgery Q&A: Your Top Questions Answered by Experts #AskTheExperts #BariatricFAQs" "Post-Op Fitness Fun: Tailoring Exercise Routines for Bariatric Patients #BariatricFitness #WorkoutAfterSurgery" "Embracing the New You: Psychological Aspects of Bariatric Surgery #MentalWellness #BariatricMindset" "Bariatric Surgery Success Stories: Real-Life Transformations Inspiring Change #TransformationTuesday #BariatricJourney" "Navigating Plateaus: Overcoming Challenges in Bariatric Weight Loss #BariatricChallenges #WeightLossPlateau" "The Science Behind Bariatric Surgery: Understanding the Surgical Process #BariatricScience #WeightLossSurgery" "Nutritional Essentials for Bariatric Patients: Building a Balanced Diet Plan #BariatricNutrition #HealthyEating" "Bariatric Surgery and Diabetes: Breaking the Link with Weight Loss Interventions #DiabetesPrevention #BariatricHealth" "Pre-Op Prep: What to Expect Before Bariatric Surgery #PreOpPreparation #BariatricPreparation" "Bariatric Surgery and Body Image: Nurturing Self-Confidence After Weight Loss #BodyPositivity #BariatricConfidence" "Bariatric Surgery for Teens: Exploring Weight Loss Options for Adolescents #TeenHealth #BariatricTeens" "Bariatric Surgery and Hormonal Changes: Understanding the Impact on Metabolism #BariatricHormones #MetabolicHealth"
    Like
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  • no1doctor
    2023-04-29 10:07:53 - ترجمه
    Which of the following components of an infection prevention bundle has the most significant impact in reducing surgical site infections in elective colorectal surgery patients?

    A. Preoperative shower with 4% chlorhexidine gluconate
    B. Mechanical bowel preparation
    C. Intraoperative abdominal irrigation with antibiotic
    D. Mechanical bowel preparation combined with oral
    antibiotics
    E. Dedicated instruments for wound closure

    ANSWER: D

    Surgical site infections (SSIs) after colorectal surgery are a significant cause of morbidity and mortality and remain an important national quality indicator. Mechanical bowel preparation plus oral antibiotics was a mainstay in colorectal
    surgery for decades, but several publications questioned the efficacy of mechanical bowel preparation. Numerous randomized controlled trials failed to show any decrease in SSIs or anastomotic leak. A major criticism of these trials was
    omission of the oral antibiotic portion of the standard bowel preparation. The American College of Surgeons National Surgical Quality Improvement Program (NSQIP) retrospectively evaluated 4999 patients who underwent
    colectomy.

    Patients who had a combined mechanical bowel preparation and oral antibiotics had a lower 30-day rate of superficial SSIs, anastomotic leak, and 30-day readmission,
    compared with mechanical bowel preparation alone. Infection prevention bundles are used to reduce the rates of infection related to central line insertions and mechanical ventilation. Several interventions in the preoperative and

    perioperative arenas are proposed to reduce the rates of SSI in colorectal patients, and institutions have grouped them together in an infection prevention bundle. One group studied
    the impact of each component of the infection prevention bundles: mechanical bowel preparation plus oral antibiotics, preoperative chlorhexidine shower, preoperative hair
    clipping, skin preparation with a standard chlorhexidine alcohol solution, intraoperative antibiotic irrigation, and a clean closure protocol with dedicated instruments.
    Multivariate analysis showed that the mechanical bowel preparation with oral antibiotics had the greatest effect on
    reducing SSIs.
    Which of the following components of an infection prevention bundle has the most significant impact in reducing surgical site infections in elective colorectal surgery patients? A. Preoperative shower with 4% chlorhexidine gluconate B. Mechanical bowel preparation C. Intraoperative abdominal irrigation with antibiotic D. Mechanical bowel preparation combined with oral antibiotics E. Dedicated instruments for wound closure ANSWER: D Surgical site infections (SSIs) after colorectal surgery are a significant cause of morbidity and mortality and remain an important national quality indicator. Mechanical bowel preparation plus oral antibiotics was a mainstay in colorectal surgery for decades, but several publications questioned the efficacy of mechanical bowel preparation. Numerous randomized controlled trials failed to show any decrease in SSIs or anastomotic leak. A major criticism of these trials was omission of the oral antibiotic portion of the standard bowel preparation. The American College of Surgeons National Surgical Quality Improvement Program (NSQIP) retrospectively evaluated 4999 patients who underwent colectomy. Patients who had a combined mechanical bowel preparation and oral antibiotics had a lower 30-day rate of superficial SSIs, anastomotic leak, and 30-day readmission, compared with mechanical bowel preparation alone. Infection prevention bundles are used to reduce the rates of infection related to central line insertions and mechanical ventilation. Several interventions in the preoperative and perioperative arenas are proposed to reduce the rates of SSI in colorectal patients, and institutions have grouped them together in an infection prevention bundle. One group studied the impact of each component of the infection prevention bundles: mechanical bowel preparation plus oral antibiotics, preoperative chlorhexidine shower, preoperative hair clipping, skin preparation with a standard chlorhexidine alcohol solution, intraoperative antibiotic irrigation, and a clean closure protocol with dedicated instruments. Multivariate analysis showed that the mechanical bowel preparation with oral antibiotics had the greatest effect on reducing SSIs.
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